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FLUAD® vs. Fluzone® High-Dose Study

Primary Purpose

Pain, Quality of Life, Injection Site Reaction

Status
Completed
Phase
Phase 4
Locations
United States
Study Type
Interventional
Intervention
FLUAD®
Fluzone® High-Dose
Sponsored by
Duke University
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for Pain focused on measuring influenza vaccine, fever following vaccination, pain following vaccination, quality of life

Eligibility Criteria

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

Inclusion Criteria:

  1. Persons aged ≥65 years, living in the community
  2. Intention of receiving IIV vaccine based on ACIP-CDC guidelines
  3. Willing to provide written informed consent prior to initiation of any study procedures
  4. Able to speak English
  5. Able and willing to complete baseline assessments and questionnaires, and to allow information to be collected from their electronic medical record
  6. Able and willing to complete post-vaccine assessments and questionnaires independently or with assistance
  7. Able and willing to have blood drawn for the study
  8. Able and willing to return in about one month for a follow-up visit including completing questionnaires and having another blood test
  9. Access to and ability to use a phone, independently or with assistance
  10. Adequate vision and motor skills to complete the diary form independently or with assistance.
  11. Not living in a skilled nursing facility/nursing home/long term acute care facility

Exclusion Criteria:

  1. IIV receipt during the current influenza season prior to study enrollment
  2. Enrolled in this study during the 2017-18 (Year 1) influenza season

    Note: Year 1 study participants will only be enrolled in Year 2 if they are participating in the sub-study on repeat vaccination

  3. Has immunosuppression as a result of an underlying illness or treatment, or use of anti-cancer chemotherapy or radiation therapy within the preceding 12 months.
  4. Has an active neoplastic disease (excluding non-melanoma skin cancer or prostate cancer that is stable in the absence of therapy) or a history of any hematologic malignancy*

    *Participants with a history of malignancy may be included if, after previous treatment by surgical excision, chemotherapy or radiation therapy, the participant has been observed for a period that in the investigator's estimation provides a reasonable assurance of sustained cure (not less than 12 months)

  5. Thrombocytopenia, bleeding disorder, or anticoagulant use contraindicating intramuscular injection
  6. History of febrile illness (> 100.0°F or 37.8°C) within the past 24 hours prior to IIV administration (temporary deferral)
  7. Contraindication to IIV receipt including history of severe allergic reaction after a previous dose of any influenza vaccine; or to a vaccine component*, including egg protein; or a latex allergy

    *Formaldehyde, Octylphenol ethoxylate, neomycin, kanamycin, barium, cetyltrimethlyammonium bromide (CTAB)

  8. Any history of Guillain-Barré syndrome
  9. Mild to severe dementia as determined by the Mini-Cog tool and the Rowland Universal Dementia Assessment Scale (RUDAS)
  10. Substance use that could interfere with study compliance
  11. Receipt of any inactivated licensed vaccine within 2 weeks, or live attenuated licensed vaccine within 4 weeks prior to enrollment in this study, or planning receipt of any vaccines during the 42-days post-vaccination period (including pneumococcal vaccines)
  12. Anyone who is already enrolled or plans to enroll in another clinical trial with an investigational product within 28 days of vaccine receipt. Co-enrollment in observational or behavioral intervention studies are allowed at any time while enrollment in a clinical trial involving an investigational product (other than vaccine) may occur after 30 days following vaccine receipt.
  13. Hearing loss determined by the investigators to prevent successful communication over the phone
  14. Any condition which, in the opinion of the investigators, may pose a health risk to the subject or interfere with the evaluation of the study objectives.
  15. Anyone who is a relative or subordinate of any research study personnel.

Sites / Locations

  • Centers for Disease Control and Prevention
  • Boston Medical Center
  • Duke University
  • Cincinnati Children's Hospital Medical Center

Arms of the Study

Arm 1

Arm 2

Arm Type

Active Comparator

Active Comparator

Arm Label

Adjuvanted influenza vaccine (FLUAD®)

High-dose influenza vaccine (Fluzone® HD)

Arm Description

In the study arm, subjects will receive a single dose of FLUAD® adjuvanted influenza vaccine during Visit 1.

In the study arm, subjects will receive a single dose of Fluzone® High-Dose influenza vaccine during Visit 1.

Outcomes

Primary Outcome Measures

Number of Participants With Injection-Site Pain in Arm That Was Vaccinated, Population 1
Comparison of the proportion of subjects reporting moderate/severe injection site pain within the first week post-vaccination in both treatment groups.
Number of Participants With Adverse Events of Clinical Interest, Population 2
The frequency and descriptions of adverse events of clinical interest observed in the two treatment groups.
Observed Serious Adverse Events in Both Treatment Groups, Population 2
The frequency and descriptions of serious adverse events observed in the two treatment groups. No analytical analysis was completed.
Number of Participants With H3N2 HAI Seroconversion
H3N2 hemagglutination inhibition assay (HAI) seroconversion: The proportion of subjects achieving H3N2 seroconversion at day 29 (an HAI titer > 1:40 at day 29 if the baseline titer is < 1:10 or a four-fold rise in HAI titer if the baseline titer is > 1:10) in the respective season's vaccine

Secondary Outcome Measures

Number of Participants With Local Reactions in Arm That Was Vaccinated - Full Study, Population 1
Comparison of local reactions within the first week post-vaccination in both treatment groups.
Number of Participants With Local Reactions in Arm That Was Vaccinated - Ages 65 - 79, Population 1
Comparison of local reactions within the first week post-vaccination in both treatment groups by age group.
Number of Participants With Local Reactions in Arm That Was Vaccinated - Ages 80 +, Population 1
Comparison of local reactions within the first week post-vaccination in both treatment groups by age group.
Number of Participants With Systemic Reactions - Full Study Population, Population 1
Comparison of systemic reactions within the first week post-vaccination in both treatment groups.
Number of Participants With System Reactions - Ages 65 - 79, Population 1
Comparison of systemic reactions within the first week post-vaccination in both treatment groups by age group.
Number of Participants With System Reactions - Ages 80 +, Population 1
Comparison of systemic reactions within the first week post-vaccination in both treatment groups by age group.
Quality of Life - Late Life Function & Disability Instrument - Full Population
Change in scores on the Late Life Function & Disability Instrument pre-vaccination to post-vaccination (Day 1 - Day 3) compared between the vaccination groups (Year 1 only). Response choices are ranked 1-5, High Scores indicate better outcomes. The Function/Activity Scale measured the amount of difficulty in completing a range of activities, or the amount of help required in doing an activity due to physical or mental heath. : None (5); A little (4) ; Some (3), Quite a lot (2), and Cannot Do (1). The Disability/Participation Scale measured participation levels in social, family, and community activities due to physical or mental health. Each question has two parts. For the first part of the question, response choices include: Very often (5), Often (4), Once in a while (3), Almost never (2), Never (1). For the second part of the question, response choices include: Not at all (5), A little (4), Somewhat (3), A lot (2), and Completely (1).
Quality of Life - Late Life Function & Disability Instrument - Ages 65 - 79
Change in scores on the Late Life Function & Disability Instrument pre-vaccination to post-vaccination (Day 1 - Day 3) compared between the vaccination groups (Year 1 only). Response choices are ranked 1-5, High Scores indicate better outcomes. The Function/Activity Scale measured the amount of difficulty in completing a range of activities, or the amount of help required in doing an activity due to physical or mental heath. : None (5); A little (4) ; Some (3), Quite a lot (2), and Cannot Do (1). The Disability/Participation Scale measured participation levels in social, family, and community activities due to physical or mental health. Each question has two parts. For the first part of the question, response choices include: Very often (5), Often (4), Once in a while (3), Almost never (2), Never (1). For the second part of the question, response choices include: Not at all (5), A little (4), Somewhat (3), A lot (2), and Completely (1).
Quality of Life - Late Life Function & Disability Instrument - Ages 80 +
Change in scores on the Late Life Function & Disability Instrument pre-vaccination to post-vaccination (Day 1 - Day 3) compared between the vaccination groups (Year 1 only). Response choices are ranked 1-5, High Scores indicate better outcomes. The Function/Activity Scale measured the amount of difficulty in completing a range of activities, or the amount of help required in doing an activity due to physical or mental heath. : None (5); A little (4) ; Some (3), Quite a lot (2), and Cannot Do (1). The Disability/Participation Scale measured participation levels in social, family, and community activities due to physical or mental health. Each question has two parts. For the first part of the question, response choices include: Very often (5), Often (4), Once in a while (3), Almost never (2), Never (1). For the second part of the question, response choices include: Not at all (5), A little (4), Somewhat (3), A lot (2), and Completely (1).
Quality of Life - EQ-5D-5L -Full Population
Change in scores on the EuroQOL 5 dimensions-5 level (EQ-5D-5L) pre-vaccination and post-vaccination compared between the vaccination groups (Year 1 only). Responses on the EQ-5D-5L measure is converted to a Utility Index that ranges from -0.109 (worst health) to 1.000 (best health).
Quality of Life - EQ-5D-5L - Ages 65 - 79
Change in scores on the EuroQOL 5 dimensions-5 level (EQ-5D-5L) pre-vaccination and post-vaccination compared between the vaccination groups and age group (Year 1 only). Responses on the EQ-5D-5L measure is converted to a Utility Index that ranges from -0.109 (worst health) to 1.000 (best health).
Quality of Life - EQ-5D-5L - Ages 80 +
Change in scores on the EuroQOL 5 dimensions-5 level (EQ-5D-5L) pre-vaccination and post-vaccination compared between the vaccination groups and age group (Year 1 only) Responses on the EQ-5D-5L measure is converted to a Utility Index that ranges from -0.109 (worst health) to 1.000 (best health).
Quality of Life - EQ VAS -Full Population
Change in scores on the EuroQOL visual analogue scale (EQ VAS) pre-vaccination and post-vaccination compared between the vaccination groups (Year 1 only). The EQ VAS records the respondent's self-rated health on a 20 cm vertical, visual analogue scale with endpoints labelled 'the best health you can imagine' (100) and 'the worst health you can imagine' (0).
Quality of Life - EQ VAS - Ages 65 - 79
Change in scores on the EuroQOL visual analogue scale (EQ VAS) pre-vaccination and post-vaccination compared between the vaccination groups and age group (Year 1 only). The EQ VAS records the respondent's self-rated health on a 20 cm vertical, visual analogue scale with endpoints labelled 'the best health you can imagine' (100) and 'the worst health you can imagine' (0).
Quality of Life - EQ VAS - Ages 80 +
Change in scores on the EuroQOL visual analogue scale (EQ VAS) pre-vaccination and post-vaccination compared between the vaccination groups and age group (Year 1 only). The EQ VAS records the respondent's self-rated health on a 20 cm vertical, visual analogue scale with endpoints labelled 'the best health you can imagine' (100) and 'the worst health you can imagine' (0).
Seroconversion - 65 and Older
The proportion of subjects achieving seroconversion at day 29 (an HAI titer > 1:40 at day 29 if the baseline titer is < 1:10 or a four-fold rise in HAI titer if the baseline titer
Seroprotection - 65 and Older
Proportion of subjects with a seroprotective HAI titer (≥ 1:40) pre- and post-immunization at day 29 for each IIV antigen in the respective season's vaccine
Geometric Mean HAI Titer - 65 and Older
The geometric mean HAI titer (GMT) for each IIV antigen in the respective season's vaccine
Seroconversion - Ages 65-79
The proportion of subjects aged 65-79 achieving seroconversion at day 29 (an HAI titer > 1:40 at day 29 if the baseline titer is < 1:10 or a four-fold rise in HAI titer if the baseline titer
Seroconversion - Ages 80 and Older
The proportion of subjects ages 80 and older achieving seroconversion at day 29 (an HAI titer > 1:40 at day 29 if the baseline titer is < 1:10 or a four-fold rise in HAI titer if the baseline titer
Seroprotection - Ages 65-79
Proportion of subjects ages 65-79 with a seroprotective HAI titer (≥ 1:40) pre- and post-immunization at day 29 for each IIV antigen in the respective season's vaccine
Seroprotection - Ages 80 and Older
Proportion of subjects ages 80 and older with a seroprotective HAI titer (≥ 1:40) pre- and post-immunization at day 29 for each IIV antigen in the respective season's vaccine
Geometric Mean HAI Titer - Ages 65-79
The geometric mean HAI titer (GMT) for each IIV antigen in the respective season's vaccine for ages 65-79
Geometric Mean HAI Titer - Ages 80 and Older
The geometric mean HAI titer (GMT) for each IIV antigen in the respective season's vaccine for ages 80 and older

Full Information

First Posted
June 7, 2017
Last Updated
March 4, 2021
Sponsor
Duke University
Collaborators
Centers for Disease Control and Prevention, Boston Medical Center, Children's Hospital Medical Center, Cincinnati
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1. Study Identification

Unique Protocol Identification Number
NCT03183908
Brief Title
FLUAD® vs. Fluzone® High-Dose Study
Official Title
Safety and Immunogenicity of Adjuvanted Versus High-Dose Inactivated Influenza Vaccines in Older Adults
Study Type
Interventional

2. Study Status

Record Verification Date
March 2021
Overall Recruitment Status
Completed
Study Start Date
August 28, 2017 (Actual)
Primary Completion Date
February 14, 2019 (Actual)
Study Completion Date
February 14, 2019 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Duke University
Collaborators
Centers for Disease Control and Prevention, Boston Medical Center, Children's Hospital Medical Center, Cincinnati

4. Oversight

Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
Product Manufactured in and Exported from the U.S.
Yes
Data Monitoring Committee
No

5. Study Description

Brief Summary
The overall aim of the study is to compare safety and immunogenicity of inactivated influenza vaccine (IIV), adjuvanted (FLUAD®) versus High-Dose inactivated influenza (Fluzone® High-Dose) vaccine in persons ≥65 years (20% aged ≥80 years). A prospective, randomized, blinded clinical trial that will be conducted during the 2017/2018 and 2018/2019 influenza seasons. During each season, approximately 220 older adults will be enrolled at Duke University Medical Center and 140 older adults at Boston University Medical Center. Eligible subjects will be randomized to receive either adjuvanted influenza vaccine or High-Dose influenza vaccine. All subjects will receive vaccine and provide a blood draw at Visit 1, and then return for a second blood draw without vaccination about 4 weeks later to assess for influenza antibody titers. A subset of 100 subjects at Duke will provide a third blood draw 6 months post-vaccination to assess for waning of influenza antibody titers. Subjects will record the occurrence of local and systemic reactions (including fever, pain, tenderness, swelling, redness, general systemic systems), unsolicited adverse events, medical care utilization, and changes in medications over 8 days following vaccination. In addition, serious adverse events and events of clinical interest will be assessed through 42 days post-vaccination. Health-related quality of life will be assessed pre-vaccination (Day 1) and on Days 3 and 9 post-vaccination.
Detailed Description
Full Analysis Population 1: Defined as all subjects who are randomized, vaccinated, and provide at least one day of complete data on the symptom diary. Full Analysis Population 2: Defined as all subjects who are randomized and vaccinated. Immunogenicity Population: Defined as subjects who received vaccine, provided baseline and Visit 4 blood draws of acceptable volume and quality within the protocol-defined time frame with no protocol violations affecting immunogenicity.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Pain, Quality of Life, Injection Site Reaction, Side Effect of Drug, Adverse Drug Event
Keywords
influenza vaccine, fever following vaccination, pain following vaccination, quality of life

7. Study Design

Primary Purpose
Prevention
Study Phase
Phase 4
Interventional Study Model
Parallel Assignment
Masking
ParticipantInvestigatorOutcomes Assessor
Masking Description
Subject, study coordinators, and investigators will be blinded to the type of flu vaccine administered. Only the vaccinator will be unblinded.
Allocation
Randomized
Enrollment
757 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Adjuvanted influenza vaccine (FLUAD®)
Arm Type
Active Comparator
Arm Description
In the study arm, subjects will receive a single dose of FLUAD® adjuvanted influenza vaccine during Visit 1.
Arm Title
High-dose influenza vaccine (Fluzone® HD)
Arm Type
Active Comparator
Arm Description
In the study arm, subjects will receive a single dose of Fluzone® High-Dose influenza vaccine during Visit 1.
Intervention Type
Biological
Intervention Name(s)
FLUAD®
Other Intervention Name(s)
Adjuvanted influenza vaccine
Intervention Description
Advisory Committee on Immunization Practices (ACIP) Recommended Vaccine
Intervention Type
Biological
Intervention Name(s)
Fluzone® High-Dose
Other Intervention Name(s)
High-dose influenza vaccine
Intervention Description
Advisory Committee on Immunization Practices (ACIP) Recommended Vaccine
Primary Outcome Measure Information:
Title
Number of Participants With Injection-Site Pain in Arm That Was Vaccinated, Population 1
Description
Comparison of the proportion of subjects reporting moderate/severe injection site pain within the first week post-vaccination in both treatment groups.
Time Frame
Days 1 through 8 post-vaccination
Title
Number of Participants With Adverse Events of Clinical Interest, Population 2
Description
The frequency and descriptions of adverse events of clinical interest observed in the two treatment groups.
Time Frame
42 days post-vaccination and compared between the two groups.
Title
Observed Serious Adverse Events in Both Treatment Groups, Population 2
Description
The frequency and descriptions of serious adverse events observed in the two treatment groups. No analytical analysis was completed.
Time Frame
42 days post-vaccination and compared between the two groups.
Title
Number of Participants With H3N2 HAI Seroconversion
Description
H3N2 hemagglutination inhibition assay (HAI) seroconversion: The proportion of subjects achieving H3N2 seroconversion at day 29 (an HAI titer > 1:40 at day 29 if the baseline titer is < 1:10 or a four-fold rise in HAI titer if the baseline titer is > 1:10) in the respective season's vaccine
Time Frame
29 days post-vaccination
Secondary Outcome Measure Information:
Title
Number of Participants With Local Reactions in Arm That Was Vaccinated - Full Study, Population 1
Description
Comparison of local reactions within the first week post-vaccination in both treatment groups.
Time Frame
Days 1 through 8 post-vaccination
Title
Number of Participants With Local Reactions in Arm That Was Vaccinated - Ages 65 - 79, Population 1
Description
Comparison of local reactions within the first week post-vaccination in both treatment groups by age group.
Time Frame
Days 1 through 8 post-vaccination
Title
Number of Participants With Local Reactions in Arm That Was Vaccinated - Ages 80 +, Population 1
Description
Comparison of local reactions within the first week post-vaccination in both treatment groups by age group.
Time Frame
Days 1 through 8 post-vaccination
Title
Number of Participants With Systemic Reactions - Full Study Population, Population 1
Description
Comparison of systemic reactions within the first week post-vaccination in both treatment groups.
Time Frame
Days 1 through 8 post-vaccination
Title
Number of Participants With System Reactions - Ages 65 - 79, Population 1
Description
Comparison of systemic reactions within the first week post-vaccination in both treatment groups by age group.
Time Frame
Days 1 through 8 post-vaccination
Title
Number of Participants With System Reactions - Ages 80 +, Population 1
Description
Comparison of systemic reactions within the first week post-vaccination in both treatment groups by age group.
Time Frame
Days 1 through 8 post-vaccination
Title
Quality of Life - Late Life Function & Disability Instrument - Full Population
Description
Change in scores on the Late Life Function & Disability Instrument pre-vaccination to post-vaccination (Day 1 - Day 3) compared between the vaccination groups (Year 1 only). Response choices are ranked 1-5, High Scores indicate better outcomes. The Function/Activity Scale measured the amount of difficulty in completing a range of activities, or the amount of help required in doing an activity due to physical or mental heath. : None (5); A little (4) ; Some (3), Quite a lot (2), and Cannot Do (1). The Disability/Participation Scale measured participation levels in social, family, and community activities due to physical or mental health. Each question has two parts. For the first part of the question, response choices include: Very often (5), Often (4), Once in a while (3), Almost never (2), Never (1). For the second part of the question, response choices include: Not at all (5), A little (4), Somewhat (3), A lot (2), and Completely (1).
Time Frame
Pre-vaccination (Day 1), 2 days post-vaccination (Day 3)
Title
Quality of Life - Late Life Function & Disability Instrument - Ages 65 - 79
Description
Change in scores on the Late Life Function & Disability Instrument pre-vaccination to post-vaccination (Day 1 - Day 3) compared between the vaccination groups (Year 1 only). Response choices are ranked 1-5, High Scores indicate better outcomes. The Function/Activity Scale measured the amount of difficulty in completing a range of activities, or the amount of help required in doing an activity due to physical or mental heath. : None (5); A little (4) ; Some (3), Quite a lot (2), and Cannot Do (1). The Disability/Participation Scale measured participation levels in social, family, and community activities due to physical or mental health. Each question has two parts. For the first part of the question, response choices include: Very often (5), Often (4), Once in a while (3), Almost never (2), Never (1). For the second part of the question, response choices include: Not at all (5), A little (4), Somewhat (3), A lot (2), and Completely (1).
Time Frame
Pre-vaccination (Day 1), 2 days post-vaccination (Day 3)
Title
Quality of Life - Late Life Function & Disability Instrument - Ages 80 +
Description
Change in scores on the Late Life Function & Disability Instrument pre-vaccination to post-vaccination (Day 1 - Day 3) compared between the vaccination groups (Year 1 only). Response choices are ranked 1-5, High Scores indicate better outcomes. The Function/Activity Scale measured the amount of difficulty in completing a range of activities, or the amount of help required in doing an activity due to physical or mental heath. : None (5); A little (4) ; Some (3), Quite a lot (2), and Cannot Do (1). The Disability/Participation Scale measured participation levels in social, family, and community activities due to physical or mental health. Each question has two parts. For the first part of the question, response choices include: Very often (5), Often (4), Once in a while (3), Almost never (2), Never (1). For the second part of the question, response choices include: Not at all (5), A little (4), Somewhat (3), A lot (2), and Completely (1).
Time Frame
Pre-vaccination (Day 1), 2 days post-vaccination (Day 3)
Title
Quality of Life - EQ-5D-5L -Full Population
Description
Change in scores on the EuroQOL 5 dimensions-5 level (EQ-5D-5L) pre-vaccination and post-vaccination compared between the vaccination groups (Year 1 only). Responses on the EQ-5D-5L measure is converted to a Utility Index that ranges from -0.109 (worst health) to 1.000 (best health).
Time Frame
Pre-vaccination (Day 1), 2 days post-vaccination (Day 3)
Title
Quality of Life - EQ-5D-5L - Ages 65 - 79
Description
Change in scores on the EuroQOL 5 dimensions-5 level (EQ-5D-5L) pre-vaccination and post-vaccination compared between the vaccination groups and age group (Year 1 only). Responses on the EQ-5D-5L measure is converted to a Utility Index that ranges from -0.109 (worst health) to 1.000 (best health).
Time Frame
Pre-vaccination (Day 1), 2 days post-vaccination (Day 3)
Title
Quality of Life - EQ-5D-5L - Ages 80 +
Description
Change in scores on the EuroQOL 5 dimensions-5 level (EQ-5D-5L) pre-vaccination and post-vaccination compared between the vaccination groups and age group (Year 1 only) Responses on the EQ-5D-5L measure is converted to a Utility Index that ranges from -0.109 (worst health) to 1.000 (best health).
Time Frame
Pre-vaccination (Day 1), 2 days post-vaccination (Day 3)
Title
Quality of Life - EQ VAS -Full Population
Description
Change in scores on the EuroQOL visual analogue scale (EQ VAS) pre-vaccination and post-vaccination compared between the vaccination groups (Year 1 only). The EQ VAS records the respondent's self-rated health on a 20 cm vertical, visual analogue scale with endpoints labelled 'the best health you can imagine' (100) and 'the worst health you can imagine' (0).
Time Frame
Pre-vaccination (Day 1), 2 days post-vaccination (Day 3)
Title
Quality of Life - EQ VAS - Ages 65 - 79
Description
Change in scores on the EuroQOL visual analogue scale (EQ VAS) pre-vaccination and post-vaccination compared between the vaccination groups and age group (Year 1 only). The EQ VAS records the respondent's self-rated health on a 20 cm vertical, visual analogue scale with endpoints labelled 'the best health you can imagine' (100) and 'the worst health you can imagine' (0).
Time Frame
Pre-vaccination (Day 1), 2 days post-vaccination (Day 3)
Title
Quality of Life - EQ VAS - Ages 80 +
Description
Change in scores on the EuroQOL visual analogue scale (EQ VAS) pre-vaccination and post-vaccination compared between the vaccination groups and age group (Year 1 only). The EQ VAS records the respondent's self-rated health on a 20 cm vertical, visual analogue scale with endpoints labelled 'the best health you can imagine' (100) and 'the worst health you can imagine' (0).
Time Frame
Pre-vaccination (Day 1), 2 days post-vaccination (Day 3)
Title
Seroconversion - 65 and Older
Description
The proportion of subjects achieving seroconversion at day 29 (an HAI titer > 1:40 at day 29 if the baseline titer is < 1:10 or a four-fold rise in HAI titer if the baseline titer
Time Frame
Day 29 (28 days post-vaccination)
Title
Seroprotection - 65 and Older
Description
Proportion of subjects with a seroprotective HAI titer (≥ 1:40) pre- and post-immunization at day 29 for each IIV antigen in the respective season's vaccine
Time Frame
Day 29 (28 days post-vaccination)
Title
Geometric Mean HAI Titer - 65 and Older
Description
The geometric mean HAI titer (GMT) for each IIV antigen in the respective season's vaccine
Time Frame
Day 29 (28 days post-vaccination)
Title
Seroconversion - Ages 65-79
Description
The proportion of subjects aged 65-79 achieving seroconversion at day 29 (an HAI titer > 1:40 at day 29 if the baseline titer is < 1:10 or a four-fold rise in HAI titer if the baseline titer
Time Frame
Day 29 (28 days post-vaccination)
Title
Seroconversion - Ages 80 and Older
Description
The proportion of subjects ages 80 and older achieving seroconversion at day 29 (an HAI titer > 1:40 at day 29 if the baseline titer is < 1:10 or a four-fold rise in HAI titer if the baseline titer
Time Frame
Day 29 (28 days post-vaccination)
Title
Seroprotection - Ages 65-79
Description
Proportion of subjects ages 65-79 with a seroprotective HAI titer (≥ 1:40) pre- and post-immunization at day 29 for each IIV antigen in the respective season's vaccine
Time Frame
Day 29 (28 days post-vaccination)
Title
Seroprotection - Ages 80 and Older
Description
Proportion of subjects ages 80 and older with a seroprotective HAI titer (≥ 1:40) pre- and post-immunization at day 29 for each IIV antigen in the respective season's vaccine
Time Frame
Day 29 (28 days post-vaccination)
Title
Geometric Mean HAI Titer - Ages 65-79
Description
The geometric mean HAI titer (GMT) for each IIV antigen in the respective season's vaccine for ages 65-79
Time Frame
Day 29 (28 days post-vaccination)
Title
Geometric Mean HAI Titer - Ages 80 and Older
Description
The geometric mean HAI titer (GMT) for each IIV antigen in the respective season's vaccine for ages 80 and older
Time Frame
Day 29 (28 days post-vaccination)

10. Eligibility

Sex
All
Minimum Age & Unit of Time
65 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Persons aged ≥65 years, living in the community Intention of receiving IIV vaccine based on ACIP-CDC guidelines Willing to provide written informed consent prior to initiation of any study procedures Able to speak English Able and willing to complete baseline assessments and questionnaires, and to allow information to be collected from their electronic medical record Able and willing to complete post-vaccine assessments and questionnaires independently or with assistance Able and willing to have blood drawn for the study Able and willing to return in about one month for a follow-up visit including completing questionnaires and having another blood test Access to and ability to use a phone, independently or with assistance Adequate vision and motor skills to complete the diary form independently or with assistance. Not living in a skilled nursing facility/nursing home/long term acute care facility Exclusion Criteria: IIV receipt during the current influenza season prior to study enrollment Enrolled in this study during the 2017-18 (Year 1) influenza season Note: Year 1 study participants will only be enrolled in Year 2 if they are participating in the sub-study on repeat vaccination Has immunosuppression as a result of an underlying illness or treatment, or use of anti-cancer chemotherapy or radiation therapy within the preceding 12 months. Has an active neoplastic disease (excluding non-melanoma skin cancer or prostate cancer that is stable in the absence of therapy) or a history of any hematologic malignancy* *Participants with a history of malignancy may be included if, after previous treatment by surgical excision, chemotherapy or radiation therapy, the participant has been observed for a period that in the investigator's estimation provides a reasonable assurance of sustained cure (not less than 12 months) Thrombocytopenia, bleeding disorder, or anticoagulant use contraindicating intramuscular injection History of febrile illness (> 100.0°F or 37.8°C) within the past 24 hours prior to IIV administration (temporary deferral) Contraindication to IIV receipt including history of severe allergic reaction after a previous dose of any influenza vaccine; or to a vaccine component*, including egg protein; or a latex allergy *Formaldehyde, Octylphenol ethoxylate, neomycin, kanamycin, barium, cetyltrimethlyammonium bromide (CTAB) Any history of Guillain-Barré syndrome Mild to severe dementia as determined by the Mini-Cog tool and the Rowland Universal Dementia Assessment Scale (RUDAS) Substance use that could interfere with study compliance Receipt of any inactivated licensed vaccine within 2 weeks, or live attenuated licensed vaccine within 4 weeks prior to enrollment in this study, or planning receipt of any vaccines during the 42-days post-vaccination period (including pneumococcal vaccines) Anyone who is already enrolled or plans to enroll in another clinical trial with an investigational product within 28 days of vaccine receipt. Co-enrollment in observational or behavioral intervention studies are allowed at any time while enrollment in a clinical trial involving an investigational product (other than vaccine) may occur after 30 days following vaccine receipt. Hearing loss determined by the investigators to prevent successful communication over the phone Any condition which, in the opinion of the investigators, may pose a health risk to the subject or interfere with the evaluation of the study objectives. Anyone who is a relative or subordinate of any research study personnel.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Kenneth Schmader, MD
Organizational Affiliation
Duke University
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Theresa Harrington, MD
Organizational Affiliation
Centers for Disease Control and Prevention
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Elizabeth Barnett, MD
Organizational Affiliation
Boston University
Official's Role
Principal Investigator
Facility Information:
Facility Name
Centers for Disease Control and Prevention
City
Atlanta
State/Province
Georgia
ZIP/Postal Code
30333
Country
United States
Facility Name
Boston Medical Center
City
Boston
State/Province
Massachusetts
ZIP/Postal Code
02118
Country
United States
Facility Name
Duke University
City
Durham
State/Province
North Carolina
ZIP/Postal Code
27705
Country
United States
Facility Name
Cincinnati Children's Hospital Medical Center
City
Cincinnati
State/Province
Ohio
ZIP/Postal Code
45229
Country
United States

12. IPD Sharing Statement

Plan to Share IPD
No
Citations:
PubMed Identifier
33443580
Citation
Schmader KE, Liu CK, Harrington T, Rountree W, Auerbach H, Walter EB, Barnett ED, Schlaudecker EP, Todd CA, Poniewierski M, Staat MA, Wodi P, Broder KR. Safety, Reactogenicity, and Health-Related Quality of Life After Trivalent Adjuvanted vs Trivalent High-Dose Inactivated Influenza Vaccines in Older Adults: A Randomized Clinical Trial. JAMA Netw Open. 2021 Jan 4;4(1):e2031266. doi: 10.1001/jamanetworkopen.2020.31266.
Results Reference
derived

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FLUAD® vs. Fluzone® High-Dose Study

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